Individual
GREGORY CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4569 WESLEY CT, MASON, OH 45040
(513) 336-6278
Mailing address
4569 WESLEY CT, MASON, OH 45040
(513) 336-6278
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
MM10090032
OH
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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